Individual provider Active NPI

Alexis Burton, CRNP-FNP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1639958747
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R239518 Issued in MD
Practice address
118 E Oak Ridge Dr Ste 1100
Hagerstown, MD 21740-7793
Phone
(240) 382-1312
NPI assigned
Sep 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R239518 MD Primary

Addresses

Primary practice location

118 E Oak Ridge Dr Ste 1100
Hagerstown, MD 21740-7793

Mailing address

118 E Oak Ridge Dr Ste 1100
Hagerstown, MD 21740-7793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240116000372 MD Practitioner - Nurse Practitioner 4981056983 Reassigns benefits to 1 organization
I20240315001420 DC Practitioner - Nurse Practitioner 4981056983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

1099 Winterson Rd
Suite 300
Linthicum, MD 21090-2279

118 E Oak Ridge Dr
Suite 1100
Hagerstown, MD 21740-7793
Phone (240) 382-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R239518MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Feb 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

850 Oak St
Frederick, MD 21703
Phone (301) 689-8374

118 E Oak Ridge Dr
Ste 1100
Hagerstown, MD 21740
Phone (240) 382-1312

22326 Exploration Dr
Lexington Park, MD 20653
Phone (301) 904-9422

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

Interoperability endpoints

  • Direct secure messaging: burton.alexis@ca-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1639958747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E OAK RIDGE DR STE 1100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E OAK RIDGE DR STE 1100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407793",
            "telephone_number": "240-382-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "ALEXIS",
        "credential": "CRNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R239518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.